Central nervous system involvement in Multiple Myeloma-Diagnosis, treatment and outcome: A case report.

Multiple Myeloma is a clonal proliferation of plasma cells with bone marrow as the primary site of occurrence. Extramedullary multiple myeloma is uncommonly seen either at presentation or later during the course of the disease. Central nervous system involvement by multiple myeloma is an extremely rare entity with a dismal outcome. This case report focuses on a 45-year-old male who presented with bone aches. Investigation findings leading to the diagnosis included elevated calcium levels, lytic lesions on radiological examination and clonal plasma cells in bone marrow biopsy. During his treatment, the patient was given chemotherapy regimens containing Lenalidomide, Bortezomib, Cyclophosamide, and Prednisolone. Thereafter, he developed neurological complications (CNS myelomatosis), which resulted in his demise. The clinical presentation, diagnosis, treatment and outcome of this rare condition is detailed below.

Environmental emission, fate and transformation of microplastics in biotic and abiotic compartments: Global status, recent advances and future perspectives.

The intensive use and wide-ranging application of plastic- and plastic-derived products have resulted in alarming levels of plastic pollution in different environmental compartments worldwide. As a result of various biogeochemical mechanisms, this plastic litter is converted into small, ubiquitous and persistent fragments called microplastics (<5 mm), which are of significant and increasing concern to the scientific community. Microplastics have spread across the globe and now exist in virtually all environmental compartments (the soil, atmosphere, and water). Although these compartments are often considered to be independent environments, in reality, they are very closely linked. Ample research has been done on microplastics, but there are still questions and knowledge gaps regarding the emission, occurrence, distribution, detection, environmental fate and transport of MPs in different environmental compartments. The current article is intended to provide a systematic overview of MP emissions, pollution conditions, sampling and analytical approaches, transport, fates and transformation mechanisms in different environmental compartments. It also identifies research gaps and future research directions and perspectives.